Provider Demographics
NPI:1427074285
Name:RAJPUT, ZULFIQAR ALI (MD)
Entity type:Individual
Prefix:DR
First Name:ZULFIQAR
Middle Name:ALI
Last Name:RAJPUT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2640 HIGHWAY 70 STE 12-201
Mailing Address - Street 2:
Mailing Address - City:MANASQUAN
Mailing Address - State:NJ
Mailing Address - Zip Code:08736-2612
Mailing Address - Country:US
Mailing Address - Phone:732-202-0622
Mailing Address - Fax:732-202-0620
Practice Address - Street 1:2640 HIGHWAY 70 STE 12-201
Practice Address - Street 2:
Practice Address - City:MANASQUAN
Practice Address - State:NJ
Practice Address - Zip Code:08736-2612
Practice Address - Country:US
Practice Address - Phone:732-202-0622
Practice Address - Fax:732-202-0620
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-14
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA67393002084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ7713100Medicaid
NJ25MA06739300OtherNJ LICENSE
NJDO7422700OtherCDC
NJBR5468550OtherDEA
NJ011750Medicare ID - Type Unspecified
NJBR5468550OtherDEA